JERSEY COLLEGE MEDSURG 1 RN FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS 2025/2026 RATED A+
List four modifiable risk factors. (general health promotion) - CORRECT ANSWER -weight,
smoking, sex practices, diet
List three non-modifiable risk factors. (general health promotion) - CORRECT ANSWER -age,
genetics, sex
What type of assessment should the nurse preform prior to initiating health teaching? -
CORRECT ANSWER -cultural assessment
Maslow's Hierarchy of Needs
--priorities?
--what order? - CORRECT ANSWER -physiological integrity
safety and security
belongingness and affection
esteem and self-respect
self-actualization
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above
Organization that identifies health promotion and disease prevention goals and lists strategies
along with resources in an attempt to improve the nation's health - CORRECT ANSWER -Healthy
People 2020
Organization that recommends ways to strengthen the practice of nursing in order to improve
health care. - CORRECT ANSWER -The Institute of Medicine's report on the Future of Nursing
,The Joint Commission lists the top patient safety concerns and includes medication safety,
infection prevention, surgery-related mistakes, patient identification and improving staff
communication. What is this list called? - CORRECT ANSWER -The National Patient Safety Goals
This governs nursing practice and is a law that is put into place to protect the public - nurses
must follow and comply with their state's regulations - CORRECT ANSWER -Nurse Practice Acts
Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in providing
continuous quality improvement in health care - CORRECT ANSWER -QSEN - Quality and Safety
Education for Nurses Institute
What is pain? - CORRECT ANSWER -whatever the patient says it is
Pain is associated with __________________________________. - CORRECT ANSWER -actual or
potential tissue damage
The single most reliable indicator of pain is _______. - CORRECT ANSWER -the patient's self
report
Pain stimulates the sympathetic nervous system and could result in an increase in ___________,
___________, and ____________. - CORRECT ANSWER -blood pressure, heart rate, and
respirations
physiologic effects of unrelieved pain (4) - CORRECT ANSWER -increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
,initiate inflammation and contribute to tissue swelling and pain - CORRECT ANSWER -
prostaglandins
______ primarily produce pain relief by preventing prostaglandin formation. - CORRECT
ANSWER -NSAIDS
_____________ does not have anti-inflammatory properties. - CORRECT ANSWER -
Acetaminophen
______________ stimulates the inflammatory response and puts the patient at risk for pain. -
CORRECT ANSWER -tissue damage
manage nociceptive pain with? - CORRECT ANSWER -local anesthetics, non-opioids or opioids
pain that is associated with a noxious stimulus - CORRECT ANSWER -allodynia
________________ could lead to allodynia. - CORRECT ANSWER -nerve route injury
What does a comprehensive pain assessment include? - CORRECT ANSWER -timing:
onset - when it started
duration - where it started
frequency - how often/for how long
type - includes intensity, associated factors
influencing factors - what makes it better/worse
, intensity - how bad does it hurt
quality - what does it feel like
location - where does it hurt
effects on function/daily activities
10cm line that represents no pain to worst pain on each end of the line and the patient places a
mark somewhere between the two ends depending on the severity of pain - CORRECT ANSWER
-visual analog scale
ranges from 0 to 10 with 0 representing no pain - CORRECT ANSWER -numeric rating scale
consists of cartoon faces that the patient selects to report their pain - CORRECT ANSWER -
Wong-Baker FACES Scale (ages 3+)
uses words to help individuals describe the intensity of their pain - CORRECT ANSWER -verbal
descriptor scale
should never be used by the provider to match the patient's facial expression - CORRECT
ANSWER -Wong-Baker FACES Scale
effect produced by topical analgesics - CORRECT ANSWER -produce a local effect
effect produced by transdermal route of analgesics - CORRECT ANSWER -produces drug
absorption into the systemic circulaiton
CORRECT ANSWERS 2025/2026 RATED A+
List four modifiable risk factors. (general health promotion) - CORRECT ANSWER -weight,
smoking, sex practices, diet
List three non-modifiable risk factors. (general health promotion) - CORRECT ANSWER -age,
genetics, sex
What type of assessment should the nurse preform prior to initiating health teaching? -
CORRECT ANSWER -cultural assessment
Maslow's Hierarchy of Needs
--priorities?
--what order? - CORRECT ANSWER -physiological integrity
safety and security
belongingness and affection
esteem and self-respect
self-actualization
-- physiologic needs and life threatening issues are a priority
-- confirm that these needs are met in the order listed above
Organization that identifies health promotion and disease prevention goals and lists strategies
along with resources in an attempt to improve the nation's health - CORRECT ANSWER -Healthy
People 2020
Organization that recommends ways to strengthen the practice of nursing in order to improve
health care. - CORRECT ANSWER -The Institute of Medicine's report on the Future of Nursing
,The Joint Commission lists the top patient safety concerns and includes medication safety,
infection prevention, surgery-related mistakes, patient identification and improving staff
communication. What is this list called? - CORRECT ANSWER -The National Patient Safety Goals
This governs nursing practice and is a law that is put into place to protect the public - nurses
must follow and comply with their state's regulations - CORRECT ANSWER -Nurse Practice Acts
Institute that seeks to strengthen the knowledge, skills, and attitudes of nurses in providing
continuous quality improvement in health care - CORRECT ANSWER -QSEN - Quality and Safety
Education for Nurses Institute
What is pain? - CORRECT ANSWER -whatever the patient says it is
Pain is associated with __________________________________. - CORRECT ANSWER -actual or
potential tissue damage
The single most reliable indicator of pain is _______. - CORRECT ANSWER -the patient's self
report
Pain stimulates the sympathetic nervous system and could result in an increase in ___________,
___________, and ____________. - CORRECT ANSWER -blood pressure, heart rate, and
respirations
physiologic effects of unrelieved pain (4) - CORRECT ANSWER -increases glucagon production
decreases insulin secretion
depresses immune function
can lead to addictive behaviors
,initiate inflammation and contribute to tissue swelling and pain - CORRECT ANSWER -
prostaglandins
______ primarily produce pain relief by preventing prostaglandin formation. - CORRECT
ANSWER -NSAIDS
_____________ does not have anti-inflammatory properties. - CORRECT ANSWER -
Acetaminophen
______________ stimulates the inflammatory response and puts the patient at risk for pain. -
CORRECT ANSWER -tissue damage
manage nociceptive pain with? - CORRECT ANSWER -local anesthetics, non-opioids or opioids
pain that is associated with a noxious stimulus - CORRECT ANSWER -allodynia
________________ could lead to allodynia. - CORRECT ANSWER -nerve route injury
What does a comprehensive pain assessment include? - CORRECT ANSWER -timing:
onset - when it started
duration - where it started
frequency - how often/for how long
type - includes intensity, associated factors
influencing factors - what makes it better/worse
, intensity - how bad does it hurt
quality - what does it feel like
location - where does it hurt
effects on function/daily activities
10cm line that represents no pain to worst pain on each end of the line and the patient places a
mark somewhere between the two ends depending on the severity of pain - CORRECT ANSWER
-visual analog scale
ranges from 0 to 10 with 0 representing no pain - CORRECT ANSWER -numeric rating scale
consists of cartoon faces that the patient selects to report their pain - CORRECT ANSWER -
Wong-Baker FACES Scale (ages 3+)
uses words to help individuals describe the intensity of their pain - CORRECT ANSWER -verbal
descriptor scale
should never be used by the provider to match the patient's facial expression - CORRECT
ANSWER -Wong-Baker FACES Scale
effect produced by topical analgesics - CORRECT ANSWER -produce a local effect
effect produced by transdermal route of analgesics - CORRECT ANSWER -produces drug
absorption into the systemic circulaiton
